PROSPAN 35 mg /5 Ml Syrup

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Talk to a doctor about this medicine

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Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Prospan

Contents of the leaflet

  1. PATIENT INFORMATION LEAFLET
  2. Leaflet attached to the packaging: information for the patient
  3. PROSPAN, 35 mg / 5 ml, syrup
    1. Read the leaflet carefully before taking the medicine, as it contains important information for the patient.
    2. Table of contents of the leaflet:
  4. WHAT IS PROSPAN SYRUP AND WHAT IS IT USED FOR
    1. Indications for use
  5. IMPORTANT INFORMATION BEFORE TAKING PROSPAN SYRUP
    1. When not to take Prospan syrup:
    2. Warnings and precautions
    3. Children
    4. Prospan syrup and other medicines
    5. Pregnancy and breastfeeding
    6. Driving and using machines
    7. The medicine contains sorbitol
  6. HOW TO TAKE PROSPAN SYRUP
    1. Administration of the syrup to children under 5 years should be consulted with a doctor.
    2. Taking a higher dose of Prospan syrup than recommended (more than three times the daily dose)
    3. Missing a dose of Prospan syrup
    4. Stopping Prospan syrup
  7. POSSIBLE SIDE EFFECTS
    1. Possible side effects
    2. Reporting side effects
  8. HOW TO STORE PROSPAN SYRUP
  9. CONTENTS OF THE PACK AND OTHER INFORMATION
    1. What Prospan syrup contains
    2. What Prospan syrup looks like and what the pack contains
    3. Marketing authorization holder and manufacturer

PATIENT INFORMATION LEAFLET

Leaflet attached to the packaging: information for the patient

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

PROSPAN, 35 mg / 5 ml, syrup

Dry extract of ivy leaf
Hederae helicis folii extractum siccum

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If you experience any side effects, including any possible side effects not listed in this leaflet, tell your doctor or pharmacist. See section 4.
  • If after 7 days there is no improvement or you feel worse, contact your doctor.

Table of contents of the leaflet:

  • 1. What is Prospan syrup and what is it used for
  • 2. Important information before taking Prospan syrup
  • 3. How to take Prospan syrup
  • 4. Possible side effects
  • 5. How to store Prospan syrup
  • 6. Contents of the pack and other information

1. WHAT IS PROSPAN SYRUP AND WHAT IS IT USED FOR

Prospan syrup contains dry extract of ivy leaves. The main active ingredients of the dry extract of ivy leaves are triterpene saponins of glycosidic nature (α-hederin, hederagenin, and hederacoside C). Prospan syrup is used as an expectorant in productive cough (so-called wet cough). The preparation has secretolytic (thinning the bronchial secretion), spasmolytic (relaxing the smooth muscles of the bronchi), and cough-relieving effects. Due to these properties, the bronchial mucus in the airways becomes thinner and its expectoration is facilitated.

Indications for use

Prospan is a herbal medicine containing an extract of ivy leaves used as an expectorant in productive cough (so-called wet cough).

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

2. IMPORTANT INFORMATION BEFORE TAKING PROSPAN SYRUP

When not to take Prospan syrup:

  • if you are hypersensitive to the active substance or to other plants of the Araliaceaefamily (araliaceae) or to any of the excipients,
  • do not use in children under 2 years of age due to the risk of exacerbating respiratory symptoms.

Warnings and precautions

Before taking Prospan syrup, consult a doctor or pharmacist.
In case of persistent symptoms or the appearance of such symptoms as shortness of breath, fever, purulent or bloody expectoration, consult a doctor immediately.
Concomitant use of cough suppressants, such as codeine or dextromethorphan, is not recommended without consulting a doctor.
Cautious use is recommended in patients with gastric mucosa inflammation or stomach ulcers.
In rare cases, the medicine may irritate the mucous membranes.
Information for diabetics:the medicine does not contain sugar and can be used by people with diabetes.

Children

Persistent or recurrent cough in children between 2 and 4 years of age requires a medical diagnosis before starting treatment.

Prospan syrup and other medicines

Tell your doctor or pharmacist about all medicines you are currently taking or have recently taken, as well as any medicines you plan to take, including those available without a prescription.
The medicine can be administered in combination with other medicines used during therapy, for example, with antibiotics. The medicine may enhance the effect of gastric mucosa irritants due to the content of saponins.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to have a child, consult a doctor or pharmacist before taking any medicine.
Studies on the safety of the medicine in pregnant women and its effect on fetal development have not been conducted. Therefore, the medicine can be used by pregnant and breastfeeding women only when, in the doctor's opinion, the benefit to the mother outweighs the potential risk to the fetus.

Driving and using machines

No adverse effect on the ability to drive vehicles, operate machinery, and mental performance has been found. The medicine does not contain alcohol.

The medicine contains sorbitol

A single dose (5 ml) contains 1.9 g of sorbitol. 2.5 ml of syrup contains 0.963 g of sorbitol = 0.08 bread units. Do not use in patients with rare hereditary fructose intolerance. In such cases, treatment should be carried out only after consulting a doctor.

3. HOW TO TAKE PROSPAN SYRUP

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist. In case of doubt, consult a doctor or pharmacist.
Shake the syrup before use!
Adults and adolescents over 12 years:take 5 ml of syrup 3 times a day (which corresponds to 105 mg of dry extract of ivy leaves per day).
Children from 6 to 11 years:5 ml of syrup 2 times a day (which corresponds to 70 mg of dry extract of ivy leaves per day).
Children from 2 to 5 years:administer on average 2.5 ml of syrup 2 times a day (which corresponds to 35 mg of dry extract of ivy leaves per day).
Do not use in children under 2 years of age.

Administration of the syrup to children under 5 years should be consulted with a doctor.

A suitable measuring cup is used to measure the medicine.
The medicine should be taken in the morning, at noon, and in the evening.
The treatment period depends on the type of symptoms and their severity.
Treatment with the medicine should last at least 7 days, even in mild respiratory tract infections.
If symptoms persist for more than a week despite taking the medicine, consult a doctor or pharmacist
If you feel that the effect of Prospan syrup is too strong or too weak, consult a doctor or pharmacist.

Nausea, vomiting, and diarrhea caused by the presence of sorbitol in the medicine may occur.
In this case, consult a doctor.

Missing a dose of Prospan syrup

Do not take a double dose to make up for a missed dose.

Stopping Prospan syrup

In case of any further doubts about the use of this medicine, consult a doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Very common: in more than 1 in 10 patients.
Common: in 1-10 in 100 patients.
Uncommon: in 1-10 in 1,000 patients.
Rare: in 1-10 in 10,000 patients.
Very rare: in less than 1 in 10,000 patients.
Not known: cannot be estimated from the available data.

Possible side effects

Very rarely, after taking medicines containing ivy extract, allergic reactions may occur, such as shortness of breath, swelling, redness, and itching of the skin.
In sensitive individuals, uncommonly, gastrointestinal disorders may occur, such as nausea, vomiting, diarrhea, and a laxative effect associated with the content of sorbitol.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in this leaflet, tell your doctor or pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C, 02-222 Warsaw, tel.: 22 49-21-301, fax: 22 49-21-309, e-mail:
[email protected].
Side effects can also be reported to the marketing authorization holder or its representative.
Reporting side effects will help to gather more information on the safety of the medicine.

5. HOW TO STORE PROSPAN SYRUP

Keep the medicine out of the sight and reach of children.
Store in a temperature not exceeding 25°C.
Slight cloudiness of the syrup is due to the presence of plant ingredients.
This condition does not affect the efficacy of the medicine.
Do not use this medicine after the expiry date stated on the packaging.
The expiry date refers to the last day of the specified month.

6. CONTENTS OF THE PACK AND OTHER INFORMATION

What Prospan syrup contains

The active substance of the medicine is dry extract of ivy leaves ( Hederae helicis folii extractum
siccum).

  • 100 ml of syrup contains 0.7 g of dry extract of Hedera helixL., folium(ivy leaf) (5-7.5:1), extraction solvent: ethanol 30 % (m/m).
  • The other ingredients (excipients) are: liquid crystallizable sorbitol (E420), potassium sorbate (E 202), anhydrous citric acid, xanthan gum, cherry flavor, purified water.

The syrup does not contain alcohol.
The syrup does not contain sugar and can be used by diabetics.

What Prospan syrup looks like and what the pack contains

The immediate packaging of Prospan syrup consists of brown glass bottles with a flow restrictor made of polyethylene with a capacity of 100 ml or 200 ml of syrup and a polyethylene (HDPE) cap with a guarantee ring, and a measuring cup made of polypropylene in a cardboard box.

Marketing authorization holder and manufacturer

Engelhard Arzneimittel GmbH & Co. KG
Herzbergstraße 3, 61138 Niederdorfelden, Germany
Date of last revision of the leaflet: January 2019

Online doctors for Prospan

Discuss questions about Prospan, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get Prospan Prescription Online

1

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Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Prospan?

Prospan does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Prospan?

The active ingredient in Prospan is Hederae helicis folium. This information helps identify medicines with the same composition but different brand names.

Who manufactures Prospan?

Prospan is manufactured by Engelhard Arzneimittel GmbH & Co. KG. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Prospan online?

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Prospan is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Prospan in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Prospan in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Prospan?

Other medicines with the same active substance (Hederae helicis folium) include Hedecton, Hedelix, Hederasal Max. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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